User interface and lock features for positioning multiple components within a body

Patent metadata

Field	Value
Publication number	US-12161394-B2
Application number	US-202117194493-A
Country	US
Kind code	B2
Filing date	Mar 8, 2021
Priority date	Mar 21, 2016
Publication date	Dec 10, 2024
Grant date	Dec 10, 2024

Abstract

Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.

First claim

What is claimed is:

1. An apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point, the apparatus comprising:
a primary electrode slider mechanically coupled with a primary electrode and supporting a primary actuator;
a second electrode slider mechanically coupled with a secondary electrode and supporting a secondary actuator, and wherein the primary electrode slider is configured to slidably and rotatably receive the second electrode slider and defining an intermediate guide slot configured to receive and engage the secondary actuator; and
an outer housing having a first end facing toward the reference point, the outer housing being configured to slidably and rotatably receive the primary electrode slider and defining:
a first guide slot configured to receive and engage the primary actuator; and
a second guide slot configured to receive the secondary actuator when the secondary actuator is positioned under the second guide slot, wherein the first guide slot is configured to direct the primary actuator to be linearly moved toward a front end of the outer housing to move the primary electrode to a first location relative to the reference point and is further configured to engage the primary actuator as the outer housing is rotated laterally in a first direction to expose the intermediate guide slot beneath the second guide slot and to receive the secondary actuator within the second guide slot.

2. The apparatus of claim 1 , further comprising:
a sheath actuator configured to move the sheath relative to the reference point; and
a sheath lock configured to selectively fix a position of the sheath relative to the reference point.

3. The apparatus of claim 1 , wherein the secondary actuator is configured to mechanically extend upwardly through the second guide slot once the intermediate guide slot is exposed beneath the second guide slot.

4. The apparatus of claim 3 , wherein the second guide slot is configured to direct the secondary actuator to be linearly moved from a distal end of the second guide slot to a proximal end of the second guide slot to move the secondary electrode to a second location relative to the reference point.

5. The apparatus of claim 4 , wherein the outer housing further includes a secondary actuator latch configured to secure the secondary actuator at the distal end of the second guide slot.

6. The apparatus of claim 5 , wherein the first guide slot is further configured to guide the primary actuator as the primary actuator is pulled away from the front end of the outer housing to direct the primary electrode to a third position relative to the reference point.

7. The apparatus of claim 4 , wherein the second guide slot includes an inward facing ramp section at the distal end of the second guide slot to cause the secondary actuator to be forced under the outer housing when the outer housing is rotated in a second direction.

8. A system for treating tissue at a reference point, the system comprising:
an electrical power source configured to selectively provide electrical power between a first pole and a second pole;
an electrosurgical apparatus configured to be inserted into a body to convey a sheath containing a primary electrode electrically coupled to the first pole of the electrical power source and a secondary electrode electrically coupled to the second pole of the electrical power source to a vicinity of a reference point;
a sheath actuator configured to move the sheath relative to the reference point;
a sheath lock configured to selectively fix a position of the sheath relative to the reference point;
a primary electrode slider mechanically coupled with a primary electrode and supporting a primary actuator;
a second electrode slider mechanically coupled with a secondary electrode and supporting a secondary actuator, and wherein the primary electrode slider is configured to slidably and rotatably receive the second electrode slider and defining an intermediate guide slot configured to receive and engage the secondary actuator; and
an outer housing having a front end facing toward the reference point, the outer housing being configured to slidably and rotatably receive the primary electrode slider and defining:
a first guide slot configured to receive and engage the primary actuator; and
a second guide slot configured to receive the secondary actuator when the secondary actuator is positioned under the second guide slot, wherein the first guide slot is configured to direct the primary actuator to be linearly moved toward the front end of the outer housing to move the primary electrode to a first location relative to the reference point and is further configured to engage the primary actuator as the outer housing is rotated laterally in a first direction to expose the intermediate guide slot beneath the second guide slot and to receive the secondary actuator within the second guide slot.

9. The system of claim 8 , wherein the first guide slot is further configured to guide the primary actuator as the primary actuator is pulled away from the front end of the outer housing to direct the primary electrode to a third position relative to the reference point.

10. The system of claim 9 , wherein the secondary actuator is configured to mechanically extend upwardly through the second guide slot once the intermediate guide slot is exposed beneath the second guide slot.

11. The system of claim 10 , wherein the second guide slot is configured to direct the secondary actuator to be linearly moved from a distal end of the second guide slot to a proximal end of the second guide slot to move the secondary electrode to a second location relative to the reference point.

12. The system of claim 11 , wherein the outer housing further includes a secondary actuator latch configured to secure the secondary actuator at the distal end of the second guide slot.

13. The system of claim 12 , wherein the second guide slot includes an inward facing ramp section at the distal end of the second guide slot to cause the secondary actuator level to be forced under the outer housing when the outer housing is rotated in a second direction.

14. A method of moving electrodes into positions for ablative electrical treatment of tissue at a reference point, the method comprising:
extending a sheath, wherein the sheath contains a primary electrode and a secondary electrode slidably received within the primary electrode;
deploying an apparatus coupled with the primary electrode and the secondary electrode, wherein the apparatus includes:
a primary electrode slider mechanically coupled with a primary electrode and supporting a primary actuator;
a secondary electrode slider mechanically coupled with a secondary electrode and supporting a secondary actuator and defining an intermediate guide slot configured to receive and engage the secondary actuator; and
an outer housing having a first end, the outer housing defining a first guide slot configured to receive and engage the primary actuator and a second guide slot configured to receive the secondary actuator when the secondary actuator is positioned under the second guide slot;
moving the primary actuator toward a front end of the outer housing to position the primary electrode at a first location relative to a reference point;
rotating the outer housing to expose the intermediate guide slot beneath the second guide slot; and
moving the secondary actuator toward the front end of the outer housing to position the secondary electrode at a second location relative to the reference point.

15. The

Assignees

• Gyrus Acmi Inc

Inventors

• Jurevicius Christine N
• Smith Michael S

Classifications

• A61B2018/1427

  with a beveled end · CPC title

• A61B2018/1407

  Loop · CPC title

• A61B2018/00982

  combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes · CPC title

• A61B2018/00196

  reciprocating lengthwise · CPC title

• A61B2018/1467

  using more than two electrodes on a single probe · CPC title